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NPI 1063481950

NPI 1063481950 : SCOTT LINEWEAVER BS : CHANDLER, AZ

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General NPI Number Information
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    NPI Number           |    1063481950
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    Entity Type          |    Individual 
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    Provider Name        |    SCOTT LINEWEAVER BS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/14/2006
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    Last Update Date     |    04/01/2025
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Provider Practice Location Address
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    Address Line         |    2040 S ALMA SCHOOL RD STE 10 
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    City                 |    CHANDLER
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    State                |    AZ
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    Zip                  |    85286-7076
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    Country              |    US
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    Telephone            |    888-439-3327
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    Fax                  |    800-682-9127
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Provider Business Mailing Address
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    Address Line         |    4406 E MAIN ST STE 103 
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    City                 |    MESA
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    State                |    AZ
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    Zip                  |    85205-7910
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    Country              |    US
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    Telephone            |    844-432-7483
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    Fax                  |    800-682-9127
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    237600000X
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    Taxonomy Name        |    Audiologist-Hearing Aid Fitter
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    237700000X
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    Taxonomy Name        |    Hearing Instrument Specialist
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    License Number       |    HAD4173
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    License Number State |    AZ
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Taxonomy #3
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    HAD4173
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    License Number State |    AZ
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